STACEY FLAHERTY APRN NPI 1396139119

NPI Information

NPI: 1396139119
Provider Name: STACEY FLAHERTY, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: SOUND PHYSICIANS OF SOUTH CAROLINA, LLC

PECOS Registration: Yes

Address:
8 RICHLAND MEDICAL PARK DR STE 300
COLUMBIA, SC
ZIP 29203
Phone: (803) 256-6511
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Stacey Flaherty, APRN is a family nurse practitioner in Columbia, SC with 10 years of experience. Stacey Flaherty, APRN NPI is 1396139119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8 RICHLAND MEDICAL PARK DR STE 300
COLUMBIA, SC
ZIP 29203-008
Phone: (803) 256-6511

The NPI 1396139119 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/19/2015 and was last updated on 10/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	19990	SOUTH CAROLINA	Yes
2	363LF0000X	Nurse Practitioner	Family	3009302	KENTUCKY	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP4292	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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